| NPI | 1699204966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9358703) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN274415) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9358703) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-09-12 |